Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $630.96	Facility		$616.60	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $831.76	Professional		$346.74	$512.86	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $741.31	Facility		$407.38	$407.38	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,071.52	Professional		$870.96	$870.96	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $2,290.87	Facility		$616.60	$851.14	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $4,265.80	Professional		$302.00	$501.19	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $724.44	Professional		$602.56	$724.44	$724.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,513.56	Professional		$602.56	$602.56	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,122.02	Professional		$707.95	$851.14	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $776.25	Professional		$295.12	$489.78	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65